<extend name="layout:index"/>
<block name="style">
	<style>
		#tianxie{
			margin-left:25%;
		}
	</style>
</block>
<block name="content">
	<div class="mws-panel grid_4" id='tianxie'>
	    <div class="mws-panel-header">
	        <span>管理中心-添加申请</span>
	    </div>
	    <div class="mws-panel-body no-padding">
	        <form class="mws-form" action="/admin/caiwu/insert" method="post">
	            <div class="mws-form-inline">
	                <div class="mws-form-row bordered">
	                    <label class="mws-form-label">会员名称</label>
	                    <div class="mws-form-item">
	                        <input class="large" name="user_name" type="text">
	                    </div>
	                </div>
	                <div class="mws-form-row bordered">
	                    <label class="mws-form-label">金额</label>
	                    <div class="mws-form-item">
	                        <input class="large" name="amount" type="text">
	                    </div>
	                </div>
	                
	                <div class="mws-form-row bordered">
	                    <label class="mws-form-label">币种</label>
	                    <div class="mws-form-item">
	                        <select class="large">
	                            <option>注册积分</option>
	                        </select>
	                    </div>
	                </div>
	                <div class="mws-form-row bordered">
	                    <label class="mws-form-label">管理员备注</label>
	                    <div class="mws-form-item">
	                        <textarea rows="" cols="" name="admin_note" class="large"></textarea>
	                    </div>
	                </div>
	                <div class="mws-form-row bordered">
	                    <label class="mws-form-label">会员备注</label>
	                    <div class="mws-form-item">
	                        <textarea rows="" cols="" name="user_note" class="large"></textarea>
	                    </div>
	                </div>
	            </div>
	            <div class="mws-button-row">
	                <input value="确认" class="btn btn-danger" type="submit">
	                <input value="重置" class="btn " type="reset">
	            </div>
	        </form>
	    </div>      
	</div>

</block>